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CPG Management of Type 2 Diabetes Mellitus (4th Edition)

CPG Management of Type 2 Diabetes Mellitus (4th Edition)

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01/18/2013

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This is a revised and updated Clinical Practice Guidelines (CPG) on Management o Type2 Diabetes Mellitus (T2DM). This CPG supersedes the previous CPG on ManagementT2DM (2004).
STATEMENT OF INTENT
This guideline is meant to be a guide or clinical practice, based on the best availableevidence at the time o development. Adherence to this guideline may not necessarilyguarantee the best outcome in every case. Every health care provider is responsible orthe management o his/her unique patient based on the clinical picture presented by thepatient and the management options available locally.
REVIEW OF THE GUIDELINE
This guideline was issued in May 2009 and will be reviewed in May 2013 or sooner i newevidence becomes available.CPG SecretariatHealth Technology Assessment SectionMedical Development DivisionMinistry o Health Malaysia4
th
Floor, Block E1, Parcel E62590 PutrajayaElectronic version is available on the ollowing websites:
http://www.moh.gov.myhttp://www.acadmed.org.myhttp://www.endocrine.myhttp://www.diabetes.org.my
 
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FOREWORD
Despite signicant advances in Medicine, Diabetes Mellitus remains a major medicalchallenge in the 21
st
century.It is common knowledge that urbanised liestyle coupled with physical inactivity, togetherwith a higher intake o saturated ats have impacted our population which appears tobe genetically predisposed to Type 2 Diabetes. In Malaysia, the prevalence o diabetescontinues to rise. What is even more worrying is the act that almost hal o our populationwith diabetes is unaware that they have the disease.Diabetes is much easier to treat in its early stages, which underscores the critical need orscreening at the primary care level. Liestyle modication including weight loss, changesin diet and increased physical activity also plays a major role in controlling the disease. As more and more novel pharmacological anti-diabetic agents come into the market, weshould not lose sight o the importance o patient empowerment to achieve behaviouralmodication.I wish to congratulate all members o this committee or their hard work in producing the4
th
edition o this Clinical Practice Guideline. This document will be an invaluable tool or allhealth practitioners in improving the delivery o care or our diabetic patients, particularlyat the primary care level.Thank you.
Tan Sri Dato’ Seri Dr. Hj. Mohd. Ismail b. Merican
Director-General of Health,Ministry of Health, Malaysia 

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